[Hiring] Claims Specialist @Integrated Specialty Coverages, LLC

Role Description

The Claims Specialist position at Golden State Claims Services reports to a Claims Supervisor, Claims Manager, or Senior Claims Manager. The chief duty of the Claims Specialist is to adjust complex or high exposure construction defect claims for the program(s) to which they are assigned.

• Contribute to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior, and effort to achieve goals and objectives.
• Build and maintain productive relationships with internal and external customers, including clients, underwriting and service teams, and agents.
• Research applicable coverage for our insureds; document coverage dates, limits, and restrictions.
• Identify and resolve any potential coverage questions; draft reservation of rights and coverage denials for review and approval by their Supervisor/Manager.
• Investigate facts of the loss by securing statements and supporting documentation such as contracts, cost of repair estimates, expert reports, photos, correspondence, etc.
• Document activities in writing within claim files.
• Exercise judgment in applying legal liability to assigned claims and will have settlement authority up to their specific authority, which may vary from carrier to carrier.
• Assign defense counsel to answer and defend lawsuits where appropriate; monitor and direct defense counsel, independent adjusters, and experts.
• Identify claims with potential exposure in excess of authority and advise their Supervisor/Manager.
• Evaluate, set, or recommend reserves for each file they are handling.
• Prepare written reports as dictated by company policy and procedures.
• Handle claims within guidelines of the Fair Claims Practices 790.03.
• Provide insureds, claimants, underwriters, and carriers with regular updates on status of file handling.
• Discuss unique and complex files with Supervisor/Manager.

Qualifications

• 3+ years of construction defect claims management experience preferred.
• College degree or equivalent claims management experience required.
• 5+ years litigation management experience preferred.
• Must hold an individual adjusting license for a designated home State and be willing to secure additional required adjusting licenses as needed.
• Proficient computer skills including Microsoft Outlook, Word, and Excel.

Requirements

• The starting annual pay scale for this position is $63,000 — $103,000 USD.
• Actual starting pay will be based on factors such as skills, qualifications, training, and experience.

Benefits

• Employee Ownership Program - every eligible employee shares in the financial rewards that grow when the company grows.
• Professional development opportunities.
• Owner Referral Program.
• Work from home reimbursement for remote/hybrid roles.
• Canary emergency financial assistance program.
• Comprehensive medical, dental, vision.
• Life/AD&D Insurance.
• Confidential, Employee Assistance Program.
• Health Savings Account, includes company contribution.
• Short-term disability.
• Voluntary benefits - supplemental accident, critical illness, hospital insurance.
• Employee discounts.
• 401(k) Plan with company match contribution.
• Addition Wealth Financial Wellness Program.
• Various Time Off Programs.
• 11 company paid holidays.